| NPI | 1619068236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT14421) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102813) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-01-24 |